APPLICATION OF VIDEOENDOSCOPIC TECHNOLOGIES IN THE TREATMENT OF PELVIC INFLAMMATORY DISEASES

Abstract

Pelvic inflammatory diseases (PID) remain one of the most significant challenges in modern gynecology due to their high prevalence among women of reproductive age and their serious long-term consequences. These conditions are commonly associated with ascending infections caused by microorganisms such as Chlamydia trachomatis, Neisseria gonorrhoeae, and other opportunistic pathogens. If not diagnosed and treated promptly, PID can lead to severe complications, including chronic pelvic pain, tubo-ovarian abscess, ectopic pregnancy, and infertility, which significantly reduce the quality of life and reproductive potential of affected women.

Traditional diagnostic approaches, including clinical examination, laboratory testing, and ultrasound imaging, often have limited sensitivity, especially in the early or subclinical stages of the disease. This may result in delayed diagnosis and inadequate treatment, contributing to disease progression and the development of complications. Therefore, the search for more accurate diagnostic and effective therapeutic methods remains a priority in gynecological practice.

The introduction of videoendoscopic technologies, particularly laparoscopy and hysteroscopy, has significantly improved the management of pelvic inflammatory diseases. These minimally invasive techniques allow direct visualization of pelvic organs, enabling precise diagnosis of inflammatory changes, adhesions, and abscess formation. Moreover, they provide the opportunity for simultaneous therapeutic intervention, including adhesiolysis, drainage of purulent formations, and restoration of tubal patency.

The aim of this study was to evaluate the clinical effectiveness of videoendoscopic technologies in the diagnosis and treatment of pelvic inflammatory diseases and to assess their impact on treatment outcomes and reproductive function. The study involved 100 women of reproductive age diagnosed with PID, divided into two groups: those receiving conventional treatment and those undergoing videoendoscopic intervention.

The results demonstrated that the use of videoendoscopic technologies significantly improves clinical outcomes. Patients who underwent laparoscopic and hysteroscopic procedures showed faster recovery, reduced postoperative complications, and shorter hospital stays compared to those receiving standard therapy. In addition, restoration of reproductive function was observed more frequently in patients treated with minimally invasive techniques.

In conclusion, videoendoscopic technologies represent a highly effective, safe, and modern approach to the management of pelvic inflammatory diseases. Their implementation in clinical practice allows for early diagnosis, targeted treatment, and improved reproductive outcomes. The widespread use of these methods is recommended, especially in complicated and chronic cases of PID.